Individual
KAYLEE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CLT
Contact information
Practice address
46 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-7226
Mailing address
12 OAKMONT DR, OLD ORCHARD BEACH, ME 04064-4138
(207) 423-7715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3936
ME
314000000X
Skilled Nursing Facility
PT3936
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
ME
Enumeration date
04/27/2015
Last updated
08/01/2022
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